针刺研究2025，Vol.50Issue(6)：689-693,720,6.DOI:10.13702/j.1000-0607.20241048
经皮穴位电刺激在老年股骨粗隆间骨折患者术前镇痛中的应用研究
Application of transcutaneous electrical acupoint stimulation in preoperative analgesia for intertrochanteric fracture of femur in elderly patients
摘要
Abstract
Objective To evaluate the clinical effect of transcutaneous electrical acupoint stimulation(TEAS)on preoperative analgesia for the elderly patients with intertrochanteric fracture of femur.Methods A total of 126 elderly patients with intertrochanteric fracture of femur were randomized into an observation group(63 cases,one case dropped out)and a control group(63 cases,2 cases dropped out).In the observation group,TEAS was operated at Huantiao(GB30),Yanglingquan(GB34),Zusanli(ST36)and Kuanguxue(Extra)on the affected side.In the control group,the sham-TEAS was delivered with the electrode patches attached on the same points,without electric current exerted.The interventions of the two groups started in 1 h on the 1st day of hospital-stay,stimulated for 1 h,twice daily,for maximal 3 d.The numeric rating scale(NRS)was observed on the day of hospital administration(T0),at 1 h(T1),12 h(T2),24 h(T3)and 48 h(T4)after the 1st intervention of the two groups,separately.The amount of additional analgesic drugs,the incidence of complications,and patient satisfaction for analgesia were recorded.Results The NRS scores either resting or passive movement from T1 to T4 were reduced compared with the score at T0 in the two groups(P<0.05).Compared with the control group,the NRS scores of observation group were lower from T1 to T4 when resting and from T2 to T4 during passive movement(P<0.05).The analgesia satisfaction score of the observation group was higher than that of the control group(P<0.05).The incidence of nausea and vomiting was lower in the observation group compared with the control group(P<0.05).The amount of additional analgesic drugs was reduced in the observation group in comparison with the control group(P<0.05).Conclusion TEAS exhibits the favorable preoperative analgesic effects in the elderly patients with intertrochanteric fracture of femur,and it reduces the dosage of analgesic drugs,and the occurrence of complications.关键词
经皮穴位电刺激/股骨粗隆间骨折/术前镇痛Key words
Transcutaneous electrical acupoint stimulation(TEAS)/Intertrochanteric fracture of femur/Preoperative analgesia引用本文复制引用
周鑫,黄明利,赵锦伟,荣晓玲,韩智远,陈小涛,姜红江,鞠昌军..经皮穴位电刺激在老年股骨粗隆间骨折患者术前镇痛中的应用研究[J].针刺研究,2025,50(6):689-693,720,6.基金项目
山东省中医药高层次人才培育项目(No.鲁卫函[2023]143号) （No.鲁卫函[2023]143号）
威海市中医药科技项目(No.2021N-14) （No.2021N-14）
